Provider Demographics
NPI:1194262949
Name:KOCH, ASHLEY MARIE (CNP)
Entity type:Individual
Prefix:MS
First Name:ASHLEY
Middle Name:MARIE
Last Name:KOCH
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
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Mailing Address - Street 1:1 SEAGATE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1558
Mailing Address - Country:US
Mailing Address - Phone:567-585-1997
Mailing Address - Fax:419-824-7359
Practice Address - Street 1:3105 S STATE ROUTE 51
Practice Address - Street 2:
Practice Address - City:ELMORE
Practice Address - State:OH
Practice Address - Zip Code:43416-9625
Practice Address - Country:US
Practice Address - Phone:419-862-8040
Practice Address - Fax:419-862-8044
Is Sole Proprietor?:No
Enumeration Date:2017-01-31
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.020409363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner